AAACF 2015 Online Scholarship Application FINAL

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1 AAACF 2015 Online Scholarship Application FINAL **Please note that this application is a sample AAACF will not accept paper applications. To complete and submit your scholarship application online, visit The Ann Arbor Area Community Foundation Online Scholarship Application DUE DATE: MARCH 17, 2015 SECTION 1: STUDENT INFORMATION First name: Middle initial: Last name: Permanent/Home address: Apt. #: City: State: Zip: County: address: Home phone number:

2 Cell phone number: Gender: Date of birth: Are you a US citizen or permanent resident? Race/Ethnicity: Do you smoke? Name of parent(s) or guardian(s): SECTION 2: HIGH SCHOOL INFORMATION Name of High School (attending or graduate of): Year of High School graduation (or expected year): Have you obtained your GED (General Education Development)? If yes, what year? Most recent high school cumulative GPA (as reported on transcript): SECTION 3: TEST SCORES Highest composite ACT score: Highest composite SAT score: SECTION 4: COLLEGE INFORMATION IF YOU ARE APPLYING TO COLLEGE: (Provide information on the top three schools to which you have applied). College # 1 name: Application status for College #1 (applied, accepted, waitlisted, intending to enroll): Cost to attend College #1 per year (including tuition, room and board, books and other fees):

3 College #2 name: Application status for College #2 (applied, accepted, waitlisted, intending to enroll): Cost to attend College #2 per year (including tuition, room and board, books and other fees): College #3 name: Application status for College #3 (applied, accepted, waitlisted, intending to enroll): Cost to attend College #3 per year (including tuition, room and board, books and other fees): Intended major: Date of anticipated graduation/completion of degree or program: IF YOU ARE CURRENTLY ENROLLED IN COLLEGE (Provide information on the current school you are attending). Name of current College: Will you be enrolled for classes in the fall? Year of school in the fall (freshman, sophomore, junior, senior): Date of anticipated graduation/completion of degree or program: Current major: Most recent cumulative college GPA (as reported on transcript): In the fall, my enrollment status will be (full time, part time, other): Cost to attend College per year (including tuition, room and board, books and other fees): SECTION 5: FINANCIAL INFORMATION Are you financially independent from your parents/guardians? (Yes, No, Do not know) Current household income: (Below $40,000; $40,000 $60,000; $60,000 $80,000, $80,000 $100,000; $100,000 $120,000, $120,000+)

4 Have you completed the FAFSA (Free Application for Student Aid)? If yes, please list the Expected Family Contribution (EFC): If no, how much money can you/your family contribute towards college expenses for the coming year? Names and amounts of other scholarships you have been awarded: Amount of loans you have been granted: SECTION 6: ACTIVITIES & COMMUNITY INVOLVEMENT SCHOOL BASED ACTIVITIES (sports, clubs, etc.): Activity Name Hours per Week (average) Dates Involved Awards/Honors/Offices Held COMMUNITY/VOLUNTEER ACTIVITIES (religious, non profit, family, etc): Activity Name Hours per Week (average) Dates Involved Awards/Honors/Offices Held SECTION 7: EMPLOYMENT HISTORY & ACADEMIC ACHEIVEMENT Employer Job Title Start Date End Date Pay Rate Hours per Week Name of Honor/Award Year Awarded Reason for Award SECTION 8: FINAL THOUGHTS 1. Please provide a statement/essay that describes your personal and educational goals and dreams for the future. (Max 2,000 characters; approx. 1,000 words)

5 2. Please share any financial, family, and/or personal circumstances that you think it would be helpful for the Scholarship Committee to consider in reviewing your application. (Max 2,000 characters; approx. 1,000 words) SECTION 9: SIGNATURE & SUBMIT SECTION 10: CONFIRMATION **NEXT STEPS** Upload Letter(s) of Recommendation Upload transcript Upload additional essays (if required for a specific scholarship)

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